Category: Journal Club

Musings form the evidence based journal club at St Emlyns

JC: Oxygen in the Acutely Unwell Patient. St Emlyn;s

When I started in medicine all resuscitation started with some form of supplemental oxygen. Whether that was by face mask, LMA or intubation, oxygen was the mainstay of initial treatment and you would even fail

JC: One Too Many?

That your “drunk” patient with presumed alcohol intoxication is not simply drunk but in fact has a different, potentially life-threatening cause for their reduced conscious level is a lesson best learned early in the Emergency

JC: “To Protect and Serve…and Drop Off”. Penetrating Trauma in Philadelphia. St Emlyn’s

Penetrating trauma is a rising problem on both sides of the Atlantic – just tune into any of the major news channels to see the effect.  Its increasing burden on US prehospital deaths from 2007

Top 10 trauma papers 2017-2018 for @traumacareUK conference. St Emlyn’s

This week I am at the Trauma Care UK conference. If you’ve not been to this one then you should, it’s friendly, great value and aims to influence and engage with all aspects of trauma

Journal Club – Trauma CT in Paediatric Patients

I have a confession to make – I once requested a whole body CT (WBCT) in a paediatric patient. [Yes, yes, I know!] To be fair, we didn’t know he was a paediatric patient at

JC: Do early pupil responses predict outcome in cardiac arrest? St Emlyn’s

Imagine yourself in the resus room. You’ve just got Return of Spontaneous Circulation (ROSC) on a patient who was in cardiac arrest. They had excellent bystander CPR and an early shock from an Automatic External

JC: So long Salt and Saline? St Emlyn’s

Simon has already covered the recent SMART trial1, regarding the comparison of balanced crystalloid solutions versus normal saline for resuscitation in critically ill adults. However, there was another paper in the same edition of the

JC: Balanced fluids vs Saline on the ICU. The SMART trial. St Emlyn’s

There has a been a little flutter of activity in the #FOAMed world this week about two trials published in the NEJM on the subject of balanced fluids in the care of critically ill patients,

JC: More on alcohol sniffing and nausea. St.Emlyn’s

Just a quickie this week as I am so busy with planning the SMACC party, the St.Emlyn’s LIVE conference and the Teaching CooP course in Manchester. I’m also off to #BadEMFest18 in a few weeks

Podcast: September 2018 round up of the St Emlyn’s blog

Here’s the September podcast round up of the St Emlyn’s blog. For some reason this did not get published back in 2018, so here it is now 🙂 The following blogs are discussed. OOHCA and

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